Chronic Sinusitis – Prognosis and Treatments


If this portrays anywhere near what you are feeling, you may have a case of chronic sinusitis; swelling of the air-filled spaces (sinuses) behind the forehead, cheeks, and eyes which continues for a long time or keeps coming back.

 When Trouble Hits Those Holes in Your Head 

Antibiotics have been routinely used to treat chronic sinusitis, but they are most likely being overprescribed. Causes of chronic sinusitis include: 1) blockage in the nose from allergies, nasal polyps, nasal tumors, or a deviated nasal septum – 2) dental infection such as tooth abscess – or, 3)allergy to the aspergillus species of fungus.


Chronic sinusitis is much less common than acute sinusitis. Acute sinusitis often occurs with upper respiratory infections. Chronic sinusitis may produce less severe symptoms than acute sinusitis but it can damage the tissues of the sinuses.


Health care providers can examine you by tapping lightly on your face over your sinuses. This method is called percussion. It may reveal tenderness in the area. Also, normal sinuses glow when light shines directly onto them. If sinusitis is present, the sinuses will not glow when your doctor shines a light onto them.


The goal of treatment is to cure the infection and make symptoms go away. Antibiotics may be given – but will take 3-4 weeks for results. Pills by mouth will help relieve a stuffy nose, and nasal sprays may help symptoms of chronic sinusitis due to allergies. Over-the-counter painkillers may be used to control the pain. Surgery is a last resort.


Prognosis is generally good when infections are cured but may need treatment over a long period of time. Chronic sinusitis tends to return, especially if conditions such as nasal blockages are not treated properly.


Esther Smith, author

Smith’s own battle with sinusitis was not chronic or acute – and was healed with herbal home treatments. For more information on sinusitis please visit: